| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.94 | $75.23 | $153.35 | |
Cigna
| Professional | $50.78 | $98.97 | $354.89 | |
Moda Health
| Professional | $122.83 | $152.34 | $274.75 | |
Premera BCBS
| Professional | $146.08 | $220.05 | $316.83 | |
Providence
| Professional | $72.38 | $199.20 | $327.52 | |
United
| Professional | $94.98 | $137.82 | $209.71 |